Individual
ROBERT NICHOLAS CACCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4001 KRESGE WAY, SUITE 200, LOUISVILLE, KY 40207-4640
(502) 895-1995
(502) 895-6479
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31276
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144557
PASSPORT
KY
05
—
200335590
—
IN
05
—
64033004
—
KY
Enumeration date
01/17/2006
Last updated
12/08/2020
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